Certified Coding Specialist

Job Summary

To enhance coding quality and compliance, the full-time remote Certified Coding Specialist will review complex inpatient medical records, assign accurate diagnosis and procedure codes, and serve as a technical resource for documentation clarification and education.

Key responsibilities

• Reviews complex inpatient medical records to identify and assign accurate codes, including principal diagnoses and secondary conditions
• Applies MS-DRG and APR-DRG methodologies to ensure accurate reimbursement and quality outcomes
• Educates and mentors coding team members and providers on coding rules, documentation standards, and best practices

Required qualifications

• High school diploma or equivalent required
• Completion of formal coursework in ICD 10 CM, CPT, and medical coding principles from an accredited program required
• Two years of inpatient medical coding experience, including high complexity cases
• Advanced knowledge of ICD 10 CM, ICD 10 PCS, MS DRG/APR DRG methodologies, and quality reporting concepts
• One of the following certifications: CCS, RHIA, RHIT, CPC, or CIC required